S. 633Senate110th Congress (2007-2009)In Committee

Working Together for Rural Access to Mental Health and Wellness for Children and Seniors Act

Introduced February 15, 2007

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S2080-2082)

February 15, 2007

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SenateIntro Referral

Introduced in Senate

February 15, 2007

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S2000-2002, S2080)

February 15, 2007

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S2080-2082)

February 15, 2007

Floor Debate

22 members

What members said about S. 633 on the floor

7 Republicans15 Democrats
Ron Wyden
Sen. Ron WydenD-OR · Feb 15, 2007

Mr. President, it has been more than 200 years since Lewis and Clark first laid eyes on Mount Hood. Today, I propose, with Senator Smith, that the spectacular mountain, seen first by our pioneers,…

Tom Harkin
Sen. Tom HarkinD-IA · Feb 15, 2007

Mr. President, today I am introducing the ``Competitive and Fair Agricultural Markets Act of 2007.'' Cosponsors joining me in introducing this legislation are: Senators Enzi, Feingold, Thomas,…

Edward M. Kennedy
Sen. Edward M. KennedyD-MA · Feb 15, 2007

Mr. President, today, we are introducing legislation to give the Food and Drug Administration broad authority to regulate tobacco products. Congress cannot in good conscience allow the Federal agency…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Feb 15, 2007

Mr. President, today I am introducing the third in a series of bills intended to support American companies and American workers. Earlier this week, I introduced a resolution which would set some…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Feb 15, 2007

Mr. President, today I introduce, with Senators Kerry and Menendez, an environmental justice bill that will help protect the well-being of minority and low-income communities throughout the United…

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Richard G. Lugar
Sen. Richard G. LugarR-IN · Feb 15, 2007

Mr. President, this legislation authorizes the creation of a civilian readiness corps to address post-conflict situations and other emergencies overseas. The Senate already embraced the creation of…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Feb 15, 2007

I am proud to cosponsor this bill, which will create new and better tools to combat fraud, waste, and abuse in government contracting. I commend our chief sponsor, Senator Byron Dorgan, for his…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Feb 15, 2007

Mr. President, I rise today to introduce legislation that ensures our Nation's homeland security grant resources are allocated in the most effective manner possible. I am pleased to be joined by my…

Christopher J. Dodd
Sen. Christopher J. DoddD-CT · Feb 15, 2007

Mr. President, I am pleased today to join with my colleague Senator Hatch to introduce legislation to protect the most vulnerable members of our society: newborn infants. Many people know the joy of…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Feb 15, 2007

Mr. President, I rise today to introduce the Access to Life-Saving Medicine Act with my colleague, Senator Clinton. Recognizing the promise of generic drugs as safe and effective treatments at…

Maria Cantwell
Sen. Maria CantwellD-WA · Feb 15, 2007

Mr. President, early in the 109th Congress I introduced a bill to address the troubling shortage of allied health professionals in our country. Sadly, we were unable to act on this bill despite…

Trent Lott
Sen. Trent LottR-MS · Feb 15, 2007

Mr. President, I wish to withhold until the Senator from Pennsylvania makes his brief remarks. Mr. President, may I get some time under the agreement? Probably 5 or 6 minutes. How much would you have…

John Cornyn
Sen. John CornynR-TX · Feb 15, 2007

Mr. President, I rise today to join with my colleague, Sen. Dianne Feinstein of California, and several of our distinguished colleagues in introducing The Risk-Based Homeland Security Grants Act of…

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Ken Salazar
Sen. Ken SalazarD-CO · Feb 16, 2007

Mr. President, today I am introducing two bills that will help drive the renewable energy revolution that is currently underway in our rural communities. The Rural Community Renewable Energy Bonds…

Jack Reed
Sen. Jack ReedD-RI · Feb 16, 2007

Mr. President, I am pleased to join my colleague, Senator Roberts, along with Senators Kennedy, Burr, Murray, Clinton, Brown, Bingaman, Collins, Isakson, and Biden in introducing the Trauma Care…

Gordon H. Smith
Sen. Gordon H. SmithR-OR · Feb 15, 2007

Mr. President, I rise today to introduce the Veterans Eagle Parks Pass Act. This legislation would provide admission to any Federal park that charges an admissions fee by creating a ``Veterans Eagle…

Hillary Rodham Clinton
Sen. Hillary Rodham ClintonD-NY · Feb 15, 2007

Mr. President, I am pleased today to join with Senator Schumer to introduce the Access of Life-Saving Medicine Act. This legislation will have a dramatic impact on the rising costs of prescription…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · Feb 15, 2007

I am pleased to introduce today, along with my colleague Senator Christopher Dodd, the Newborn Screening Saves Lives Act of 2007. Every State and U.S. territory routinely screens newborns for certain…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Feb 15, 2007

Mr. President, I am pleased to join with my colleague from Wisconsin, Senator Feingold, in introducing legislation to prohibit health insurers from denying benefits to plan participants if they are…

Tom Harkin
Sen. Tom HarkinD-IA · Feb 16, 2007

Mr. President, today I am introducing legislation, the Training for Realtime Writers Act of 2007, on behalf of myself and my colleagues, Senators Grassley, Cochran, Dodd, Durbin, Kerry, Kohl, Murray,…

Harry Reid
Sen. Harry ReidD-NV · Feb 15, 2007

Mr. President, I want to express my support for the ``Insurance Industry Competition Act of 2007,'' which repeals the well- known McCarran-Ferguson Act. McCarran-Ferguson gave States the authority to…

John D. Rockefeller IV
Sen. John D. Rockefeller IVD-WV · Feb 15, 2007

Mr. President, today I join with my colleagues, Senator Olympia Snowe and Vice-Chairman Ted Stevens, to re-introduce the Antideficiency Act to protect the Universal Service Program. This is a…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Feb 16, 2007

Mr. President, I rise today to co-sponsor the American National Red Cross Governance Modernization Act of 2007. This legislation, a product of close cooperation with my colleagues Senator Grassley…

Hillary Rodham Clinton
Sen. Hillary Rodham ClintonD-NY · Feb 16, 2007

Mr. President, I am pleased to re-introduce the Kinship Caregiver Support Act today with my friend and colleague, Senator Olympia Snowe. The growth of kinship care is a phenomenon that is quietly…

Bill Text

Latest available legislative text

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Introduced in SenateIssued February 15, 2007

II

110th CONGRESS

1st Session

S. 633

IN THE SENATE OF THE UNITED STATES

February 15, 2007

Mr. Coleman introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To provide assistance to rural schools, hospitals, and communities for the conduct of collaborative efforts to secure a progressive and innovative system to improve access to mental health care for youth, seniors, and families.

1.

Short title

This Act may be cited as the Working Together for Rural Access to Mental Health and Wellness for Children and Seniors Act.

2.

Findings and purpose

(a)

Findings

Congress makes the following findings:

(1)

Providing adequate mental health care in rural communities is a national problem. Mental health is an integral part of a person’s general health and well-being. In rural areas, where specialized mental health services are scarce, accessing mental health professional services is difficult. Primary care is often the only system for delivering mental health services.

(2)

Rural primary care providers are seeing an increase in mental health issues in their clinics.

(3)

The need is overwhelming with the Surgeon General estimating 21 percent of children experience the signs or symptoms of a mental disorder. Left untreated, these problems lead to rampant school failure, drug abuse, and often incarceration.

(4)

The Department of Health and Human Services indicates that 1 in 5 children and adolescents may have a diagnosable disorder, yet 70 percent to 80 percent receive little or no help.

(5)

Few schools have the resources to implement a full range of school mental health interventions. Identifying sustainable and flexible funding sources for these programs is extremely important.

(6)

Health, and especially mental health, is a fundamental cornerstone for ensuring that all youth have an equal opportunity to succeed at school.

(7)

Promoting and expanding telemental health collaborations to strengthen delivery of mental health services in remote and underserved areas is needed.

(8)

Telemental health is an effective tool for diagnosing and treating some mental health conditions. For rural and remote areas, telemental health offers patients access and care.

(b)

Purpose

It is the purpose of this Act to—

(1)

provide assistance to rural schools, hospitals, and communities for the conduct of collaborative efforts to secure a progressive and innovative system to improve access to mental health care for youth, seniors and families;

(2)

increase access of elementary and secondary school students to mental health services in rural areas by operating a mobile health services van program in such areas; or

(3)

increase access of individuals of all ages to mental health services in rural areas by providing telemental health services in such areas.

3.

Rural access to mental health services grant program

(a)

State grants

The Secretary of Health and Human Services (referred to in this section as the Secretary) shall award grants to States to enable such States to award subgrants to carry out the purposes of this Act.

(b)

Eligibility and amount

(1)

Eligibility

To be eligible for a grant under subsection (a), a State shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including an assurance that the State will designate a lead agency in accordance with subsection (c) and submit a State plan in accordance with subsection (d).

(2)

Amount

The Secretary shall award a grant to a State under this section in an amount that is based on the respective number of critical access hospitals (as defined in section 1861 (mm)(1) of the Social Security Act (42 U.S.C. 1395x(mm)(1)) in the State as such compares to the total number of critical access hospitals in all States that are awarded grants under this section.

(c)

State lead agency

(1)

In general

To be eligible to receive a grant under this section, the governor of a State shall select a lead agency within the State to administer the State programs under the grant. If the governor of the State selects a lead agency other than the State Office of Rural Health, the governor shall ensure the involvement of the State Office of Rural Health in the development and administration of the State program under this section.

(2)

Duties

The lead agency of a State shall—

(A)

administer, directly or through other governmental or nongovernmental agencies, amounts received under a grant under subsection (a); and

(B)

develop the State plan under subsection (d) and coordinate the expenditure of funds in consultation with appropriate representatives of the State and local educational agencies and the rural mental health providers and State hospital associations.

(d)

State plan

To be eligible to receive a grant under subsection (a), a State shall submit to the Secretary a State plan that shall—

(1)

identify the lead agency of the State;

(2)

contain assurances that the State shall use the amounts provided to the State under the grant to address—

(A)

in the case of mobile van services, the mental health needs of elementary school and secondary school students; or

(B)

in the case of telemental health services, the mental health needs of individuals of all ages through telemental health services, and to pay administrative costs incurred in connection with providing the assistance to grant recipients;

(3)

contain assurances that benefits and services under the grant shall be available throughout the entire State; and

(4)

contain assurances that the lead agency shall consult with rural mental health providers and hospital associations that represent such providers in such State on the most appropriate ways to use the funds received under the grant.

(e)

Awarding of subgrants

(1)

In general

The lead agency of the State shall use amounts received under a grant under subsection (a) to award subgrants to eligible entities on a competitive basis.

(2)

Eligibility

To be eligible to receive a subgrant under paragraph (1), a grant applicant shall be located in or serving a rural area and be a government-owned or private nonprofit hospital (or, in the case of a mobile van services program, a governmental, tribal, or private nonprofit school district or educational institution which provides elementary education or secondary education (kindergarten through grade 12) and that collaborates with such a hospital), a community mental health center, a primary care clinic, or other nonprofit agency providing mental health services.

(3)

Selection criteria

In establishing procedures for the awarding of subgrants under paragraph (1), the lead agency of the State shall provide for the use of the following selection criteria:

(A)

The extent to which a grant applicant demonstrates a need to improve the access of mental health services within the community served by such applicant.

(B)

The extent to which a grant applicant will serve a rural community with a significant low-income or other population that is underserved with respect to the provision of mental health services.

(4)

Application and approval

To be eligible to receive a subgrant under paragraph (1), an entity shall submit an application to the lead agency of the State that includes—

(A)

a description of the manner in which the entity intends to use amounts provided under the subgrant;

(B)

such information as the lead agency may require to apply the selection criteria under paragraph (3);

(C)

measurable objectives for the use of funds provided under the subgrant;

(D)

a description of the manner in which the applicant will evaluate the effectiveness of the program carried out under the subgrant;

(E)

an agreement to maintain such records, make such reports, and cooperate with such reviews or audits as the lead agency and the Secretary may find necessary for purposes of oversight of program activities and expenditures;

(F)

a plan for sustaining activities and services funded under the subgrant after Federal support for such activities and services has ended; and

(G)

such other information and assurances as the Secretary may require.

(5)

Use of funds

A recipient of a subgrant under paragraph (1) shall use amounts awarded under the grant to—

(A)

in the case of mobile van health services, offset costs incurred after December 31, 2007, that are related to operating a mobile van outreach program under which a hospital and one or more elementary or secondary schools provide mental health care services to students of such schools in the rural area, which may include the costs of—

(i)

purchasing or leasing a mobile van in which mental health services are provided to elementary school or secondary school students;

(ii)

repairs and maintenance for such a mobile van;

(iii)

purchasing or leasing communications capabilities reasonable and necessary to operate the mobile van;

(iv)

providing education and training to staff on operating the mobile van program; and

(v)

providing for additional mental health services professional staff that are employed to provide mental health services as part of the mobile van program; and

(B)

in the case of telemental health services, offset costs incurred after December 31, 2007, that are related to providing telemental health services to persons of all ages in the rural area, which may include the cost of—

(i)

purchasing, leasing, repairing, maintaining, or upgrading telemental health services equipment;

(ii)

operating telemental health services equipment, including telecommunications, utilities, and software costs;

(iii)

providing education and training to staff concerning the provision of telemental health services; and

(iv)

employing additional mental health services professional staff to provide telemental health services.

(6)

Limits

The amount awarded to an entity as a subgrant under paragraph (1) for any fiscal year shall not exceed $300,000.

(f)

Reporting, monitoring, and evaluation

The lead agency of each State that receives a grant under subsection (a) shall submit a report to the Secretary that contains—

(1)

the amounts received under the grant;

(2)

the amounts allocated as subgrants under subsection (e);

(3)

the types of expenditures made by subgrant recipients with such funds; and

(4)

such other information as may be required by the Secretary to assist the Secretary in monitoring the effectiveness of this section.

(g)

Review of compliance with state plan

(1)

In general

The Secretary shall review and monitor State compliance with the requirements of this section and the State plan submitted under subsection (d).

(2)

Failure to comply

If the Secretary, after reasonable notice to a State and opportunity for a hearing, determines that there has been a failure by the State to comply substantially with any provision or requirement set forth in the State plan or a requirement of this section, the Secretary shall notify the lead agency of the State of such determination and that no further payments to the State will be made with respect to the State grant until the Secretary is satisfied that there is no longer any failure to comply or that the noncompliance will be promptly corrected.

(h)

Interaction of Federal and State law

Federal and State procurement laws shall be preempted to the extent necessary to carry out this section.

(i)

Definitions

In this section:

(1)

Hospital

The term hospital means a non-Federal short-term general acute care facility located in or serving a rural area.

(2)

Mobile van

The term mobile van means a mobile wellness center the purpose of which is to improve access to, and focuses on, early intervention of mental health, and that provides consultation, education, comprehensive interdisciplinary education, and collaborative treatment planning services.

(3)

Rural area

The term rural area, with respect to the location of an eligible applicant, or with respect to the location of mental health services, means that the entity or services—

(A)

is located in a rural census tract of a metropolitan statistical area, as determined under the most recent version of the Goldsmith Modification, the Rural-Urban Commuting Area codes, as determined by the Office of Rural Health Policy of the Health Resources and Services Administration; or

(B)

is located in an area designated by any law or regulation of such State as a rural area (or, in the case of a hospital, is designated by such State as a rural hospital).

(4)

Telemental health services

The term telemental health services means mental health services that are provided through the use of videoconferencing or similar means of electronic communications and information technology.

(5)

Telemental health services equipment

The term telemental health services equipment includes telecommunications and peripheral equipment used to provide patient evaluations, case management, medication management, crisis response, pre-admission and pre-discharge planning, treatment planning, individual and group therapy, family therapy, mental status evaluations, case conferences, family visits, staff training, and administrative activities relating to the mental health services.

(j)

Authorization of appropriations

There are authorized to be appropriated to carry out this section, $10,000,000 for each of fiscal years 2008 through 2010.